Smoker | Prodigy Training Center

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First name*

Last name*

Age*

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Fighting out of (Prodigy, UFC Gym, etc)*

Bout Type (MMA, Kickboxing, or boxing) You can request for more than one*

Weight Range*

Experience (years training or fight record)*

Phone*

Walk-out Song*

Cornerman/Coach Names (2 MAX)*

(808)450-5700

94-530 UKE'E STREET

WAIPAHU, HI 96797

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